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Removal Of A Kidney Drainage Tube, With X-ray Guidance

South Dakota rates for HCPCS 50389

A tube that was placed through the skin directly into the kidney to drain urine is removed, using live X-ray imaging to guide the process and confirm it comes out safely. This is used when a temporary kidney drainage tube is no longer needed.

Rates data updated July 2026.

Facilitymedian $646 · 10th–90th $132$2,2910%50%10th90th$646Professionalmedian $148 · 10th–90th $50$8510%10%10th90th$148$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$57.54
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$758.58
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$524.81
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$602.56
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$776.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$501.19
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$151.36
Typical High
$954.99
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$977.24